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/ <br /> CITY OF EVFRETT \ DATE• ��- a2 :L- $ �S <br /> ELECTRIC.'1L WIRItJG PERMIT APPLICATION �.c: <br /> .708 A�DRESS I � C.� � ����`� <br /> TENANT �� �c/h / i 2 <br /> FROPERTY OWNR EG, �csyl C r Z <br /> �ECTRICAL CONiRACTOR ��Lv4iv5 ��c�7/Z < < <br /> �IC-`^.JSE N0. �a�qN�K �`t7 �3 3 E:<P�RATIC,� OATc � 4`�d <br /> ACNINI57RATOR �o,�/ �C�c�Jd.✓��K PHO�E NC. 3.Sj� L77� <br /> VALL'E OF WORK _�D �� (do not include taxes) <br /> (for comme��cizl workJ <br /> USc OF BUILDING ��S <br /> � NOTE: WAC 2°b-46-140 requires that plans for electrical work at educational, � <br /> institutional or health care facilities be approved by the State of <br /> Washington. Apolicants witti such ,jebs must show the State-approved plans <br /> before a City of Everett pe:mit will Ce issued. <br /> WORK TO 8E DONE: <br /> o`�..-iT3� /� �7c�L.J«.� G �zA.t.� -G - � <br /> SIGJEJ : � �i�2t /�7�`�� DATE �� 0'1 d-- Ff� <br /> riores ar� cCMMEElTS: <br /> ,���y r3�«...� !�!?�s�� � n/ �o��o r�wuye !-�a�.= <br /> � �UC/�f•tl L � %Y�c )IJU�'e> /!�Y`J �.^� (�Y�KC <br /> 7�ic��% <br /> 1��oI� <br />